Zuzana Jackevicius Killam, | |
109 E Maple St, Gillespie, IL 62033-1473 | |
(217) 839-1526 | |
(217) 839-1538 |
Full Name | Zuzana Jackevicius Killam |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 109 E Maple St, Gillespie, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306584917 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209025228 (Illinois) | Primary |
Entity Name | Macoupin County Public Health Department |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538444906 PECOS PAC ID: 1557377850 Enrollment ID: O20060223000446 |
Mailing Address | Practice Location Address |
---|---|
Zuzana Jackevicius Killam, 1018 W College Ave, Jacksonville, IL 62650-2306 Ph: (217) 371-3389 | Zuzana Jackevicius Killam, 109 E Maple St, Gillespie, IL 62033-1473 Ph: (217) 839-1526 |
Samantha Kay Noeth, MMSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 715 Broadway St, Gillespie, IL 62033 Phone: 217-839-4491 Fax: 217-839-2689 | |
Sandra L Cania, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 E Maple St, Gillespie, IL 62033 Phone: 217-839-1526 Fax: 217-839-1538 | |
Mrs. Christina Elizabeth Ventimiglia-brandt, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 109 E Maple St, Gillespie, IL 62033 Phone: 217-839-1526 | |
Sheri Lynne Banovic, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 115 South Macoupin Street, Gillespie, IL 62033 Phone: 217-839-1526 | |
Samantha Thomas, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 109 E Maple St, Gillespie, IL 62033 Phone: 217-839-1526 | |
Melinda S Edwards, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 109 E Maple St, Gillespie, IL 62033 Phone: 217-839-1526 |